DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Heritage Funeral Home	DOIID	688219	NAIC NPN	11539410

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Agent	Life	9/2/2008	3/31/2010
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Appointments with the following Insurers

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Cincinnati Equitable Life Insurance Company	641870	Agent - Life	9/10/2008	12/21/2009
Inactive	Columbian Life Insurance Company	300810	Agent - Life	5/6/2009	3/31/2010
Inactive	Southland National Insurance Corporation	517954	Agent - Life	3/9/2009	4/7/2010

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bryant, Jerry D	344046	Agent - Life	9/2/2008	3/31/2010
Inactive	Meador, Marion S	308312	Agent - Life	9/2/2008	3/31/2010